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1811465594
MARY CANONICO
BEREA, OH
NPI
1811465594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH 023823)
Enumeration Date
2018-11-11
Last Update Date
2019-01-30
Business Address
MARY CANONICO PMHNP-BC
202 E BAGLEY RD
BEREA, OH 44017-2058
Phone number: 216-296-6845
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Mailing Address
MARY CANONICO PMHNP-BC
202 E BAGLEY RD
BEREA, OH 44017-2058
Phone number: 440-234-2006
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